NPI: 1649470832 · STAR, ID 83669 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,451 | $64K |
| 2019 | 3,561 | $84K |
| 2020 | 2,744 | $69K |
| 2021 | 2,737 | $68K |
| 2022 | 2,300 | $51K |
| 2023 | 1,396 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 2,203 | 2,197 | $171K | |
| D1120 | 1,918 | 1,916 | $117K | |
| D2392 | 982 | 506 | $59K | |
| D0330 | 266 | 266 | $9K | |
| D2391 | 217 | 130 | $7K | |
| D0150 | 283 | 282 | $2K | |
| D0140 | 128 | 126 | $2K | |
| D0120 | 3,566 | 3,559 | $2K | |
| D0210 | 12 | 12 | $1K | |
| D7140 | 36 | 14 | $561.03 | |
| D0274 | 997 | 994 | $84.29 | |
| D9230 | 290 | 248 | $24.46 | |
| D0272 | 982 | 980 | $0.00 | |
| D1351 | 101 | 13 | $0.00 | |
| D0220 | 93 | 86 | $0.00 | |
| D1208 | 3,115 | 3,110 | $-196.58 |